| Entity Name: | VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Mar 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Oct 2022 (2 years ago) |
| Document Number: | L16000061017 |
| FEI/EIN Number | 81-2127471 |
| Address: | 6850 CARSONS TRL DR, VERO BEACH, FL, 32967, US |
| Mail Address: | 6850 CARSONS TRL DR, VERO BEACH, FL, 32967, US |
| ZIP code: | 32967 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013367556 | 2016-06-15 | 2018-02-06 | 1040 37TH PL, SUITE 201, VERO BEACH, FL, 329604806, US | 1040 37TH PL, SUITE 201, VERO BEACH, FL, 329604806, US | |||||||||||||||||
|
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| Phone | +1 772-492-7051 |
Authorized person
| Name | STUART J SHAFER |
| Role | MBR |
| Phone | 7724927051 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME72269 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VERO BEACH NEUROLOGY & RESEARCH INSTITUTE 401(K) PLAN | 2023 | 812127471 | 2024-06-11 | VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE, LLC | 32 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-11 |
| Name of individual signing | DR. STUART JAMES SHAFER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7727763215 |
| Plan sponsor’s address | 6850 CARSONS TRAIL DRIVE, VERO BEACH, FL, 32967 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7727763215 |
| Plan sponsor’s address | 6850 CARSONS TRAIL DRIVE, VERO BEACH, FL, 32967 |
| Name | Role | Address |
|---|---|---|
| Shafer Stuart J | Agent | 6850 CARSONS TRL DR, VERO BEACH, FL, 32967 |
| Name | Role | Address |
|---|---|---|
| SHAFER Stuart J | Manager | 6850 CARSONS TRL DR, VERO BEACH, FL, 32967 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000000592 | THE MEMORY AND COGNITIVE DISORDER CLINIC OF VERO BEACH | ACTIVE | 2024-01-03 | 2029-12-31 | No data | 1040 37TH PL, STE 201, VERO BEACH, FL, 32960 |
| G11000092695 | MS CENTER OF VERO BEACH | ACTIVE | 2011-09-20 | 2026-12-31 | No data | 1040 37TH PLACE, SUITE 201, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-05 | Shafer, Stuart J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-05 | 6850 CARSONS TRL DR, VERO BEACH, FL 32967 | No data |
| REINSTATEMENT | 2022-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-31 |
| REINSTATEMENT | 2022-10-24 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-02-14 |
| Florida Limited Liability | 2016-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
